Mynors-Wallis L
Warneford Hospital, Oxford.
Int J Psychiatry Med. 1996;26(3):249-62. doi: 10.2190/0HVY-CD2F-0KC7-FVTB.
There is a need for psychological treatments for psychiatric disorders in primary care. The purpose of this article is to review studies of problem-solving treatment (PST). PST is a brief psychological treatment for emotional symptoms in primary care patients.
A series of different studies of primary care patients in Oxford are reviewed.
In primary care, PST is effective for patients with major depression and for patients with more broadly defined emotional disorders. PST can be effectively delivered in primary care settings by psychiatrists, general practitioners, or nurses. PST may be more expensive than primary care practitioners' usual treatment in terms of direct costs. However, PST might result in greater savings if indirect costs are also considered.
PST is a feasible, brief, effective treatment for mental disorders of mild to moderate severity in primary care. Replication studies and further research on combination treatments, long-term outcomes, and indirect costs are indicated.
基层医疗中需要针对精神障碍的心理治疗。本文旨在综述问题解决疗法（PST）的相关研究。PST是一种针对基层医疗患者情绪症状的简短心理治疗方法。
对牛津针对基层医疗患者的一系列不同研究进行综述。
在基层医疗中，PST对重度抑郁症患者以及更广泛定义的情绪障碍患者有效。精神科医生、全科医生或护士可在基层医疗环境中有效实施PST。就直接成本而言，PST可能比基层医疗从业者的常规治疗更昂贵。然而，如果也考虑间接成本，PST可能会带来更大的节省。
PST是基层医疗中治疗轻度至中度精神障碍的一种可行、简短且有效的治疗方法。需要进行重复研究以及对联合治疗、长期疗效和间接成本的进一步研究。
